Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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12 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... variety of other causes
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Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
POCUS Male with ... severe RUQ abdominal ... separated from bowel as ... Pleural air would ... #ultrasound #Abdominal
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Causes of Intrahepatic Gas
Non-Iatrogenic:
 β€’ Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Gas Non-Iatrogenic ... enterocolitis (NEC ... #Air #Portal #Causes ... #differential #
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... POCUS S/P ERCP ... venous gas, and ... #Pneumobilia #air ... #hepatic
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Perforated Appendicitis and Abscess on Abdominal POCUS

Young patient presents with RLQ abdominal pain and fever. What
on Abdominal POCUS ... presents with RLQ ... abdominal pain ... antibiotics and had IR ... #Abdominal #POCUS
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Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... on POCUS - Pneumatosis ... Both cause intrahepatic ... result in small air ... #abdominal #ultrasound
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Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
portal venous gas ... tends to have air ... considered within differential ... #clinical #ultrasound ... #RUQ
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Portal Venous Gas on Point of Care Ultrasound (POCUS) secondary to Ischemic Bowel

LOOK FOR AIR IN
Portal Venous Gas ... Bowel LOOK FOR AIR ... Another case of ... portal gas (and ... #clinical #abdominal
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Urothelial Thickening on Renal POCUS
Teenager (female) with flank pain and fever.  POCUS to evaluate for
POCUS Teenager ... US commonly normal ... infarction/abscess ... fluid collections, air ... #ultrasound
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Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
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